Creative endovascular procedures for

ischemic limb salvage

Louay Altarazi Louay Altarazi MDMDDamascus SyriaDamascus Syria

Before After

Classic proceduresClassic proceduresObtaining direct flow to the Obtaining direct flow to the foot through a Tibial arteryfoot through a Tibial artery

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

0305155

Blocked Arteriography

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

Duplex Guided AngioplastyDuplex Guided Angioplasty

Advantages1048698 No radiation1048698 No nephrotoxic contrast1048698 Multi-planar magnification1048698 Visualization of arterial wall

1048698 Good Selection amp Placement of balloon stent1048698 Treatment of complications1048698 Adequate Anatomical amp Hemodynamic technique control

And more

Duplex Guided AngioplastyDuplex Guided Angioplasty

030515 10

Plaque Recoil

030515 11

Artery Dissection

ComplicationThrombus Formation

Insitu BypassAnastomosis P T A

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

retrograde ascending approachesretrograde ascending approaches

Popleatal approach

Retrograde access

Ped access

Post tib access Peroneal

access

Pedal Retrograde Access

Post-tibial Retrograde Access

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp mult iple approaches- Double amp mult iple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

Double approach

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

Subintimal dissection

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous- wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

Rendez-vous technique

Pedal Rendez-vous technique

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

Loop technique Loop technique AnatomyAnatomy

030515 38

Before

After

Pedal arches loop Pedal arches loop recanalizationrecanalization

Pedal to planter loopPedal to planter loop

Pedal to planter loopPedal to planter loop

planter to Pedal to loopplanter to Pedal to loop

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques- Trans collaterals techniques

030515 45

Before After

Trans-Collaterals DilatationTrans-Collaterals Dilatation

CommunicantsCommunicants

anatomyanatomy

PeronealPeroneal

ToTo

Post tibialPost tibial

PeronealPeroneal

ToTo

Ant tibialAnt tibial

or pedalor pedal

Recommendations

plan your strategy adapt your strategy to the situation Multi level work Alternate amp combine techniques Be inventive Extreme acrobatics Do only what you can do

plan your strategy adapt your strategy to the situation Multi level work Alternate amp combine techniques Be inventive Extreme acrobatics Do only what you can do

plan your strategy

adapt your strategy to the situation

adapt your strategy to the situation

Before After

Multi levels workMulti levels work

Alternate amp combine techniquesAlternate amp combine techniques

Before After

Be inventive

Retrograde transcollaterals approacheRetrograde transcollaterals approache

Extreme acrobatics

Per ArPer Ar

Ped ArPed Ar

ArchesArchesCommunicantCommunicant

Post tib ArPost tib Ar

Medial Medial

planter Arplanter Ar

Transvenous

Bypass gtgt

Petra rock sculpted old city

Istanbul Orientrsquos gate

Esfahan = half of the world

DamascusWorld oldest

Inhabited Capital

EX ORIENT LUX

Marvelous south Egypt

Before After

Classic proceduresClassic proceduresObtaining direct flow to the Obtaining direct flow to the foot through a Tibial arteryfoot through a Tibial artery

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

0305155

Blocked Arteriography

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

Duplex Guided AngioplastyDuplex Guided Angioplasty

Advantages1048698 No radiation1048698 No nephrotoxic contrast1048698 Multi-planar magnification1048698 Visualization of arterial wall

1048698 Good Selection amp Placement of balloon stent1048698 Treatment of complications1048698 Adequate Anatomical amp Hemodynamic technique control

And more

Duplex Guided AngioplastyDuplex Guided Angioplasty

030515 10

Plaque Recoil

030515 11

Artery Dissection

ComplicationThrombus Formation

Insitu BypassAnastomosis P T A

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

retrograde ascending approachesretrograde ascending approaches

Popleatal approach

Retrograde access

Ped access

Post tib access Peroneal

access

Pedal Retrograde Access

Post-tibial Retrograde Access

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp mult iple approaches- Double amp mult iple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

Double approach

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

Subintimal dissection

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous- wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

Rendez-vous technique

Pedal Rendez-vous technique

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

Loop technique Loop technique AnatomyAnatomy

030515 38

Before

After

Pedal arches loop Pedal arches loop recanalizationrecanalization

Pedal to planter loopPedal to planter loop

Pedal to planter loopPedal to planter loop

planter to Pedal to loopplanter to Pedal to loop

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques- Trans collaterals techniques

030515 45

Before After

Trans-Collaterals DilatationTrans-Collaterals Dilatation

CommunicantsCommunicants

anatomyanatomy

PeronealPeroneal

ToTo

Post tibialPost tibial

PeronealPeroneal

ToTo

Ant tibialAnt tibial

or pedalor pedal

Recommendations

plan your strategy adapt your strategy to the situation Multi level work Alternate amp combine techniques Be inventive Extreme acrobatics Do only what you can do

plan your strategy adapt your strategy to the situation Multi level work Alternate amp combine techniques Be inventive Extreme acrobatics Do only what you can do

plan your strategy

adapt your strategy to the situation

adapt your strategy to the situation

Before After

Multi levels workMulti levels work

Alternate amp combine techniquesAlternate amp combine techniques

Before After

Be inventive

Retrograde transcollaterals approacheRetrograde transcollaterals approache

Extreme acrobatics

Per ArPer Ar

Ped ArPed Ar

ArchesArchesCommunicantCommunicant

Post tib ArPost tib Ar

Medial Medial

planter Arplanter Ar

Transvenous

Bypass gtgt

Petra rock sculpted old city

Istanbul Orientrsquos gate

Esfahan = half of the world

DamascusWorld oldest

Inhabited Capital

EX ORIENT LUX

Marvelous south Egypt

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

0305155

Blocked Arteriography

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

Duplex Guided AngioplastyDuplex Guided Angioplasty

Advantages1048698 No radiation1048698 No nephrotoxic contrast1048698 Multi-planar magnification1048698 Visualization of arterial wall

1048698 Good Selection amp Placement of balloon stent1048698 Treatment of complications1048698 Adequate Anatomical amp Hemodynamic technique control

And more

Duplex Guided AngioplastyDuplex Guided Angioplasty

030515 10

Plaque Recoil

030515 11

Artery Dissection

ComplicationThrombus Formation

Insitu BypassAnastomosis P T A

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

retrograde ascending approachesretrograde ascending approaches

Popleatal approach

Retrograde access

Ped access

Post tib access Peroneal

access

Pedal Retrograde Access

Post-tibial Retrograde Access

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp mult iple approaches- Double amp mult iple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

Double approach

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

Subintimal dissection

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous- wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

Rendez-vous technique

Pedal Rendez-vous technique

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

Loop technique Loop technique AnatomyAnatomy

030515 38

Before

After

Pedal arches loop Pedal arches loop recanalizationrecanalization

Pedal to planter loopPedal to planter loop

Pedal to planter loopPedal to planter loop

planter to Pedal to loopplanter to Pedal to loop

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques- Trans collaterals techniques

030515 45

Before After

Trans-Collaterals DilatationTrans-Collaterals Dilatation

CommunicantsCommunicants

anatomyanatomy

PeronealPeroneal

ToTo

Post tibialPost tibial

PeronealPeroneal

ToTo

Ant tibialAnt tibial

or pedalor pedal

Recommendations

plan your strategy adapt your strategy to the situation Multi level work Alternate amp combine techniques Be inventive Extreme acrobatics Do only what you can do

plan your strategy adapt your strategy to the situation Multi level work Alternate amp combine techniques Be inventive Extreme acrobatics Do only what you can do

plan your strategy

adapt your strategy to the situation

adapt your strategy to the situation

Before After

Multi levels workMulti levels work

Alternate amp combine techniquesAlternate amp combine techniques

Before After

Be inventive

Retrograde transcollaterals approacheRetrograde transcollaterals approache

Extreme acrobatics

Per ArPer Ar

Ped ArPed Ar

ArchesArchesCommunicantCommunicant

Post tib ArPost tib Ar

Medial Medial

planter Arplanter Ar

Transvenous

Bypass gtgt

Petra rock sculpted old city

Istanbul Orientrsquos gate

Esfahan = half of the world

DamascusWorld oldest

Inhabited Capital

EX ORIENT LUX

Marvelous south Egypt

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

0305155

Blocked Arteriography

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

Duplex Guided AngioplastyDuplex Guided Angioplasty

Advantages1048698 No radiation1048698 No nephrotoxic contrast1048698 Multi-planar magnification1048698 Visualization of arterial wall

1048698 Good Selection amp Placement of balloon stent1048698 Treatment of complications1048698 Adequate Anatomical amp Hemodynamic technique control

And more

Duplex Guided AngioplastyDuplex Guided Angioplasty

030515 10

Plaque Recoil

030515 11

Artery Dissection

ComplicationThrombus Formation

Insitu BypassAnastomosis P T A

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

retrograde ascending approachesretrograde ascending approaches

Popleatal approach

Retrograde access

Ped access

Post tib access Peroneal

access

Pedal Retrograde Access

Post-tibial Retrograde Access

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp mult iple approaches- Double amp mult iple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

Double approach

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

Subintimal dissection

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous- wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

Rendez-vous technique

Pedal Rendez-vous technique

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

Loop technique Loop technique AnatomyAnatomy

030515 38

Before

After

Pedal arches loop Pedal arches loop recanalizationrecanalization

Pedal to planter loopPedal to planter loop

Pedal to planter loopPedal to planter loop

planter to Pedal to loopplanter to Pedal to loop

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques- Trans collaterals techniques

030515 45

Before After

Trans-Collaterals DilatationTrans-Collaterals Dilatation

CommunicantsCommunicants

anatomyanatomy

PeronealPeroneal

ToTo

Post tibialPost tibial

PeronealPeroneal

ToTo

Ant tibialAnt tibial

or pedalor pedal

Recommendations

plan your strategy adapt your strategy to the situation Multi level work Alternate amp combine techniques Be inventive Extreme acrobatics Do only what you can do

plan your strategy adapt your strategy to the situation Multi level work Alternate amp combine techniques Be inventive Extreme acrobatics Do only what you can do

plan your strategy

adapt your strategy to the situation

adapt your strategy to the situation

Before After

Multi levels workMulti levels work

Alternate amp combine techniquesAlternate amp combine techniques

Before After

Be inventive

Retrograde transcollaterals approacheRetrograde transcollaterals approache

Extreme acrobatics

Per ArPer Ar

Ped ArPed Ar

ArchesArchesCommunicantCommunicant

Post tib ArPost tib Ar

Medial Medial

planter Arplanter Ar

Transvenous

Bypass gtgt

Petra rock sculpted old city

Istanbul Orientrsquos gate

Esfahan = half of the world

DamascusWorld oldest

Inhabited Capital

EX ORIENT LUX

Marvelous south Egypt

0305155

Blocked Arteriography

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

Duplex Guided AngioplastyDuplex Guided Angioplasty

Advantages1048698 No radiation1048698 No nephrotoxic contrast1048698 Multi-planar magnification1048698 Visualization of arterial wall

1048698 Good Selection amp Placement of balloon stent1048698 Treatment of complications1048698 Adequate Anatomical amp Hemodynamic technique control

And more

Duplex Guided AngioplastyDuplex Guided Angioplasty

030515 10

Plaque Recoil

030515 11

Artery Dissection

ComplicationThrombus Formation

Insitu BypassAnastomosis P T A

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

retrograde ascending approachesretrograde ascending approaches

Popleatal approach

Retrograde access

Ped access

Post tib access Peroneal

access

Pedal Retrograde Access

Post-tibial Retrograde Access

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp mult iple approaches- Double amp mult iple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

Double approach

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

Subintimal dissection

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous- wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

Rendez-vous technique

Pedal Rendez-vous technique

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

Loop technique Loop technique AnatomyAnatomy

030515 38

Before

After

Pedal arches loop Pedal arches loop recanalizationrecanalization

Pedal to planter loopPedal to planter loop

Pedal to planter loopPedal to planter loop

planter to Pedal to loopplanter to Pedal to loop

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques- Trans collaterals techniques

030515 45

Before After

Trans-Collaterals DilatationTrans-Collaterals Dilatation

CommunicantsCommunicants

anatomyanatomy

PeronealPeroneal

ToTo

Post tibialPost tibial

PeronealPeroneal

ToTo

Ant tibialAnt tibial

or pedalor pedal

Recommendations

plan your strategy adapt your strategy to the situation Multi level work Alternate amp combine techniques Be inventive Extreme acrobatics Do only what you can do

plan your strategy adapt your strategy to the situation Multi level work Alternate amp combine techniques Be inventive Extreme acrobatics Do only what you can do

plan your strategy

adapt your strategy to the situation

adapt your strategy to the situation

Before After

Multi levels workMulti levels work

Alternate amp combine techniquesAlternate amp combine techniques

Before After

Be inventive

Retrograde transcollaterals approacheRetrograde transcollaterals approache

Extreme acrobatics

Per ArPer Ar

Ped ArPed Ar

ArchesArchesCommunicantCommunicant

Post tib ArPost tib Ar

Medial Medial

planter Arplanter Ar

Transvenous

Bypass gtgt

Petra rock sculpted old city

Istanbul Orientrsquos gate

Esfahan = half of the world

DamascusWorld oldest

Inhabited Capital

EX ORIENT LUX

Marvelous south Egypt

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

Duplex Guided AngioplastyDuplex Guided Angioplasty

Advantages1048698 No radiation1048698 No nephrotoxic contrast1048698 Multi-planar magnification1048698 Visualization of arterial wall

1048698 Good Selection amp Placement of balloon stent1048698 Treatment of complications1048698 Adequate Anatomical amp Hemodynamic technique control

And more

Duplex Guided AngioplastyDuplex Guided Angioplasty

030515 10

Plaque Recoil

030515 11

Artery Dissection

ComplicationThrombus Formation

Insitu BypassAnastomosis P T A

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

retrograde ascending approachesretrograde ascending approaches

Popleatal approach

Retrograde access

Ped access

Post tib access Peroneal

access

Pedal Retrograde Access

Post-tibial Retrograde Access

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp mult iple approaches- Double amp mult iple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

Double approach

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

Subintimal dissection

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous- wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

Rendez-vous technique

Pedal Rendez-vous technique

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

Loop technique Loop technique AnatomyAnatomy

030515 38

Before

After

Pedal arches loop Pedal arches loop recanalizationrecanalization

Pedal to planter loopPedal to planter loop

Pedal to planter loopPedal to planter loop

planter to Pedal to loopplanter to Pedal to loop

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques- Trans collaterals techniques

030515 45

Before After

Trans-Collaterals DilatationTrans-Collaterals Dilatation

CommunicantsCommunicants

anatomyanatomy

PeronealPeroneal

ToTo

Post tibialPost tibial

PeronealPeroneal

ToTo

Ant tibialAnt tibial

or pedalor pedal

Recommendations

plan your strategy adapt your strategy to the situation Multi level work Alternate amp combine techniques Be inventive Extreme acrobatics Do only what you can do

plan your strategy adapt your strategy to the situation Multi level work Alternate amp combine techniques Be inventive Extreme acrobatics Do only what you can do

plan your strategy

adapt your strategy to the situation

adapt your strategy to the situation

Before After

Multi levels workMulti levels work

Alternate amp combine techniquesAlternate amp combine techniques

Before After

Be inventive

Retrograde transcollaterals approacheRetrograde transcollaterals approache

Extreme acrobatics

Per ArPer Ar

Ped ArPed Ar

ArchesArchesCommunicantCommunicant

Post tib ArPost tib Ar

Medial Medial

planter Arplanter Ar

Transvenous

Bypass gtgt

Petra rock sculpted old city

Istanbul Orientrsquos gate

Esfahan = half of the world

DamascusWorld oldest

Inhabited Capital

EX ORIENT LUX

Marvelous south Egypt

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

Duplex Guided AngioplastyDuplex Guided Angioplasty

Advantages1048698 No radiation1048698 No nephrotoxic contrast1048698 Multi-planar magnification1048698 Visualization of arterial wall

1048698 Good Selection amp Placement of balloon stent1048698 Treatment of complications1048698 Adequate Anatomical amp Hemodynamic technique control

And more

Duplex Guided AngioplastyDuplex Guided Angioplasty

030515 10

Plaque Recoil

030515 11

Artery Dissection

ComplicationThrombus Formation

Insitu BypassAnastomosis P T A

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

retrograde ascending approachesretrograde ascending approaches

Popleatal approach

Retrograde access

Ped access

Post tib access Peroneal

access

Pedal Retrograde Access

Post-tibial Retrograde Access

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp mult iple approaches- Double amp mult iple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

Double approach

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

Subintimal dissection

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous- wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

Rendez-vous technique

Pedal Rendez-vous technique

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

Loop technique Loop technique AnatomyAnatomy

030515 38

Before

After

Pedal arches loop Pedal arches loop recanalizationrecanalization

Pedal to planter loopPedal to planter loop

Pedal to planter loopPedal to planter loop

planter to Pedal to loopplanter to Pedal to loop

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques- Trans collaterals techniques

030515 45

Before After

Trans-Collaterals DilatationTrans-Collaterals Dilatation

CommunicantsCommunicants

anatomyanatomy

PeronealPeroneal

ToTo

Post tibialPost tibial

PeronealPeroneal

ToTo

Ant tibialAnt tibial

or pedalor pedal

Recommendations

plan your strategy adapt your strategy to the situation Multi level work Alternate amp combine techniques Be inventive Extreme acrobatics Do only what you can do

plan your strategy adapt your strategy to the situation Multi level work Alternate amp combine techniques Be inventive Extreme acrobatics Do only what you can do

plan your strategy

adapt your strategy to the situation

adapt your strategy to the situation

Before After

Multi levels workMulti levels work

Alternate amp combine techniquesAlternate amp combine techniques

Before After

Be inventive

Retrograde transcollaterals approacheRetrograde transcollaterals approache

Extreme acrobatics

Per ArPer Ar

Ped ArPed Ar

ArchesArchesCommunicantCommunicant

Post tib ArPost tib Ar

Medial Medial

planter Arplanter Ar

Transvenous

Bypass gtgt

Petra rock sculpted old city

Istanbul Orientrsquos gate

Esfahan = half of the world

DamascusWorld oldest

Inhabited Capital

EX ORIENT LUX

Marvelous south Egypt

Duplex Guided AngioplastyDuplex Guided Angioplasty

Advantages1048698 No radiation1048698 No nephrotoxic contrast1048698 Multi-planar magnification1048698 Visualization of arterial wall

1048698 Good Selection amp Placement of balloon stent1048698 Treatment of complications1048698 Adequate Anatomical amp Hemodynamic technique control

And more

Duplex Guided AngioplastyDuplex Guided Angioplasty

030515 10

Plaque Recoil

030515 11

Artery Dissection

ComplicationThrombus Formation

Insitu BypassAnastomosis P T A

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

retrograde ascending approachesretrograde ascending approaches

Popleatal approach

Retrograde access

Ped access

Post tib access Peroneal

access

Pedal Retrograde Access

Post-tibial Retrograde Access

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp mult iple approaches- Double amp mult iple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

Double approach

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

Subintimal dissection

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous- wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

Rendez-vous technique

Pedal Rendez-vous technique

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

Loop technique Loop technique AnatomyAnatomy

030515 38

Before

After

Pedal arches loop Pedal arches loop recanalizationrecanalization

Pedal to planter loopPedal to planter loop

Pedal to planter loopPedal to planter loop

planter to Pedal to loopplanter to Pedal to loop

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques- Trans collaterals techniques

030515 45

Before After

Trans-Collaterals DilatationTrans-Collaterals Dilatation

CommunicantsCommunicants

anatomyanatomy

PeronealPeroneal

ToTo

Post tibialPost tibial

PeronealPeroneal

ToTo

Ant tibialAnt tibial

or pedalor pedal

Recommendations

plan your strategy adapt your strategy to the situation Multi level work Alternate amp combine techniques Be inventive Extreme acrobatics Do only what you can do

plan your strategy adapt your strategy to the situation Multi level work Alternate amp combine techniques Be inventive Extreme acrobatics Do only what you can do

plan your strategy

adapt your strategy to the situation

adapt your strategy to the situation

Before After

Multi levels workMulti levels work

Alternate amp combine techniquesAlternate amp combine techniques

Before After

Be inventive

Retrograde transcollaterals approacheRetrograde transcollaterals approache

Extreme acrobatics

Per ArPer Ar

Ped ArPed Ar

ArchesArchesCommunicantCommunicant

Post tib ArPost tib Ar

Medial Medial

planter Arplanter Ar

Transvenous

Bypass gtgt

Petra rock sculpted old city

Istanbul Orientrsquos gate

Esfahan = half of the world

DamascusWorld oldest

Inhabited Capital

EX ORIENT LUX

Marvelous south Egypt

Duplex Guided AngioplastyDuplex Guided Angioplasty

030515 10

Plaque Recoil

030515 11

Artery Dissection

ComplicationThrombus Formation

Insitu BypassAnastomosis P T A

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

retrograde ascending approachesretrograde ascending approaches

Popleatal approach

Retrograde access

Ped access

Post tib access Peroneal

access

Pedal Retrograde Access

Post-tibial Retrograde Access

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp mult iple approaches- Double amp mult iple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

Double approach

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

Subintimal dissection

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous- wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

Rendez-vous technique

Pedal Rendez-vous technique

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

Loop technique Loop technique AnatomyAnatomy

030515 38

Before

After

Pedal arches loop Pedal arches loop recanalizationrecanalization

Pedal to planter loopPedal to planter loop

Pedal to planter loopPedal to planter loop

planter to Pedal to loopplanter to Pedal to loop

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques- Trans collaterals techniques

030515 45

Before After

Trans-Collaterals DilatationTrans-Collaterals Dilatation

CommunicantsCommunicants

anatomyanatomy

PeronealPeroneal

ToTo

Post tibialPost tibial

PeronealPeroneal

ToTo

Ant tibialAnt tibial

or pedalor pedal

Recommendations

plan your strategy adapt your strategy to the situation Multi level work Alternate amp combine techniques Be inventive Extreme acrobatics Do only what you can do

plan your strategy adapt your strategy to the situation Multi level work Alternate amp combine techniques Be inventive Extreme acrobatics Do only what you can do

plan your strategy

adapt your strategy to the situation

adapt your strategy to the situation

Before After

Multi levels workMulti levels work

Alternate amp combine techniquesAlternate amp combine techniques

Before After

Be inventive

Retrograde transcollaterals approacheRetrograde transcollaterals approache

Extreme acrobatics

Per ArPer Ar

Ped ArPed Ar

ArchesArchesCommunicantCommunicant

Post tib ArPost tib Ar

Medial Medial

planter Arplanter Ar

Transvenous

Bypass gtgt

Petra rock sculpted old city

Istanbul Orientrsquos gate

Esfahan = half of the world

DamascusWorld oldest

Inhabited Capital

EX ORIENT LUX

Marvelous south Egypt

030515 10

Plaque Recoil

030515 11

Artery Dissection

ComplicationThrombus Formation

Insitu BypassAnastomosis P T A

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

retrograde ascending approachesretrograde ascending approaches

Popleatal approach

Retrograde access

Ped access

Post tib access Peroneal

access

Pedal Retrograde Access

Post-tibial Retrograde Access

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp mult iple approaches- Double amp mult iple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

Double approach

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

Subintimal dissection

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous- wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

Rendez-vous technique

Pedal Rendez-vous technique

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

Loop technique Loop technique AnatomyAnatomy

030515 38

Before

After

Pedal arches loop Pedal arches loop recanalizationrecanalization

Pedal to planter loopPedal to planter loop

Pedal to planter loopPedal to planter loop

planter to Pedal to loopplanter to Pedal to loop

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques- Trans collaterals techniques

030515 45

Before After

Trans-Collaterals DilatationTrans-Collaterals Dilatation

CommunicantsCommunicants

anatomyanatomy

PeronealPeroneal

ToTo

Post tibialPost tibial

PeronealPeroneal

ToTo

Ant tibialAnt tibial

or pedalor pedal

Recommendations

plan your strategy adapt your strategy to the situation Multi level work Alternate amp combine techniques Be inventive Extreme acrobatics Do only what you can do

plan your strategy adapt your strategy to the situation Multi level work Alternate amp combine techniques Be inventive Extreme acrobatics Do only what you can do

plan your strategy

adapt your strategy to the situation

adapt your strategy to the situation

Before After

Multi levels workMulti levels work

Alternate amp combine techniquesAlternate amp combine techniques

Before After

Be inventive

Retrograde transcollaterals approacheRetrograde transcollaterals approache

Extreme acrobatics

Per ArPer Ar

Ped ArPed Ar

ArchesArchesCommunicantCommunicant

Post tib ArPost tib Ar

Medial Medial

planter Arplanter Ar

Transvenous

Bypass gtgt

Petra rock sculpted old city

Istanbul Orientrsquos gate

Esfahan = half of the world

DamascusWorld oldest

Inhabited Capital

EX ORIENT LUX

Marvelous south Egypt

030515 11

Artery Dissection

ComplicationThrombus Formation

Insitu BypassAnastomosis P T A

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

retrograde ascending approachesretrograde ascending approaches

Popleatal approach

Retrograde access

Ped access

Post tib access Peroneal

access

Pedal Retrograde Access

Post-tibial Retrograde Access

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp mult iple approaches- Double amp mult iple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

Double approach

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

Subintimal dissection

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous- wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

Rendez-vous technique

Pedal Rendez-vous technique

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

Loop technique Loop technique AnatomyAnatomy

030515 38

Before

After

Pedal arches loop Pedal arches loop recanalizationrecanalization

Pedal to planter loopPedal to planter loop

Pedal to planter loopPedal to planter loop

planter to Pedal to loopplanter to Pedal to loop

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques- Trans collaterals techniques

030515 45

Before After

Trans-Collaterals DilatationTrans-Collaterals Dilatation

CommunicantsCommunicants

anatomyanatomy

PeronealPeroneal

ToTo

Post tibialPost tibial

PeronealPeroneal

ToTo

Ant tibialAnt tibial

or pedalor pedal

Recommendations

plan your strategy adapt your strategy to the situation Multi level work Alternate amp combine techniques Be inventive Extreme acrobatics Do only what you can do

plan your strategy adapt your strategy to the situation Multi level work Alternate amp combine techniques Be inventive Extreme acrobatics Do only what you can do

plan your strategy

adapt your strategy to the situation

adapt your strategy to the situation

Before After

Multi levels workMulti levels work

Alternate amp combine techniquesAlternate amp combine techniques

Before After

Be inventive

Retrograde transcollaterals approacheRetrograde transcollaterals approache

Extreme acrobatics

Per ArPer Ar

Ped ArPed Ar

ArchesArchesCommunicantCommunicant

Post tib ArPost tib Ar

Medial Medial

planter Arplanter Ar

Transvenous

Bypass gtgt

Petra rock sculpted old city

Istanbul Orientrsquos gate

Esfahan = half of the world

DamascusWorld oldest

Inhabited Capital

EX ORIENT LUX

Marvelous south Egypt

ComplicationThrombus Formation

Insitu BypassAnastomosis P T A

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

retrograde ascending approachesretrograde ascending approaches

Popleatal approach

Retrograde access

Ped access

Post tib access Peroneal

access

Pedal Retrograde Access

Post-tibial Retrograde Access

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp mult iple approaches- Double amp mult iple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

Double approach

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

Subintimal dissection

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous- wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

Rendez-vous technique

Pedal Rendez-vous technique

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

Loop technique Loop technique AnatomyAnatomy

030515 38

Before

After

Pedal arches loop Pedal arches loop recanalizationrecanalization

Pedal to planter loopPedal to planter loop

Pedal to planter loopPedal to planter loop

planter to Pedal to loopplanter to Pedal to loop

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques- Trans collaterals techniques

030515 45

Before After

Trans-Collaterals DilatationTrans-Collaterals Dilatation

CommunicantsCommunicants

anatomyanatomy

PeronealPeroneal

ToTo

Post tibialPost tibial

PeronealPeroneal

ToTo

Ant tibialAnt tibial

or pedalor pedal

Recommendations

plan your strategy adapt your strategy to the situation Multi level work Alternate amp combine techniques Be inventive Extreme acrobatics Do only what you can do

plan your strategy adapt your strategy to the situation Multi level work Alternate amp combine techniques Be inventive Extreme acrobatics Do only what you can do

plan your strategy

adapt your strategy to the situation

adapt your strategy to the situation

Before After

Multi levels workMulti levels work

Alternate amp combine techniquesAlternate amp combine techniques

Before After

Be inventive

Retrograde transcollaterals approacheRetrograde transcollaterals approache

Extreme acrobatics

Per ArPer Ar

Ped ArPed Ar

ArchesArchesCommunicantCommunicant

Post tib ArPost tib Ar

Medial Medial

planter Arplanter Ar

Transvenous

Bypass gtgt

Petra rock sculpted old city

Istanbul Orientrsquos gate

Esfahan = half of the world

DamascusWorld oldest

Inhabited Capital

EX ORIENT LUX

Marvelous south Egypt

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

retrograde ascending approachesretrograde ascending approaches

Popleatal approach

Retrograde access

Ped access

Post tib access Peroneal

access

Pedal Retrograde Access

Post-tibial Retrograde Access

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp mult iple approaches- Double amp mult iple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

Double approach

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

Subintimal dissection

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous- wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

Rendez-vous technique

Pedal Rendez-vous technique

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

Loop technique Loop technique AnatomyAnatomy

030515 38

Before

After

Pedal arches loop Pedal arches loop recanalizationrecanalization

Pedal to planter loopPedal to planter loop

Pedal to planter loopPedal to planter loop

planter to Pedal to loopplanter to Pedal to loop

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques- Trans collaterals techniques

030515 45

Before After

Trans-Collaterals DilatationTrans-Collaterals Dilatation

CommunicantsCommunicants

anatomyanatomy

PeronealPeroneal

ToTo

Post tibialPost tibial

PeronealPeroneal

ToTo

Ant tibialAnt tibial

or pedalor pedal

Recommendations

plan your strategy adapt your strategy to the situation Multi level work Alternate amp combine techniques Be inventive Extreme acrobatics Do only what you can do

plan your strategy adapt your strategy to the situation Multi level work Alternate amp combine techniques Be inventive Extreme acrobatics Do only what you can do

plan your strategy

adapt your strategy to the situation

adapt your strategy to the situation

Before After

Multi levels workMulti levels work

Alternate amp combine techniquesAlternate amp combine techniques

Before After

Be inventive

Retrograde transcollaterals approacheRetrograde transcollaterals approache

Extreme acrobatics

Per ArPer Ar

Ped ArPed Ar

ArchesArchesCommunicantCommunicant

Post tib ArPost tib Ar

Medial Medial

planter Arplanter Ar

Transvenous

Bypass gtgt

Petra rock sculpted old city

Istanbul Orientrsquos gate

Esfahan = half of the world

DamascusWorld oldest

Inhabited Capital

EX ORIENT LUX

Marvelous south Egypt

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

retrograde ascending approachesretrograde ascending approaches

Popleatal approach

Retrograde access

Ped access

Post tib access Peroneal

access

Pedal Retrograde Access

Post-tibial Retrograde Access

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp mult iple approaches- Double amp mult iple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

Double approach

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

Subintimal dissection

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous- wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

Rendez-vous technique

Pedal Rendez-vous technique

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

Loop technique Loop technique AnatomyAnatomy

030515 38

Before

After

Pedal arches loop Pedal arches loop recanalizationrecanalization

Pedal to planter loopPedal to planter loop

Pedal to planter loopPedal to planter loop

planter to Pedal to loopplanter to Pedal to loop

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques- Trans collaterals techniques

030515 45

Before After

Trans-Collaterals DilatationTrans-Collaterals Dilatation

CommunicantsCommunicants

anatomyanatomy

PeronealPeroneal

ToTo

Post tibialPost tibial

PeronealPeroneal

ToTo

Ant tibialAnt tibial

or pedalor pedal

Recommendations

plan your strategy adapt your strategy to the situation Multi level work Alternate amp combine techniques Be inventive Extreme acrobatics Do only what you can do

plan your strategy adapt your strategy to the situation Multi level work Alternate amp combine techniques Be inventive Extreme acrobatics Do only what you can do

plan your strategy

adapt your strategy to the situation

adapt your strategy to the situation

Before After

Multi levels workMulti levels work

Alternate amp combine techniquesAlternate amp combine techniques

Before After

Be inventive

Retrograde transcollaterals approacheRetrograde transcollaterals approache

Extreme acrobatics

Per ArPer Ar

Ped ArPed Ar

ArchesArchesCommunicantCommunicant

Post tib ArPost tib Ar

Medial Medial

planter Arplanter Ar

Transvenous

Bypass gtgt

Petra rock sculpted old city

Istanbul Orientrsquos gate

Esfahan = half of the world

DamascusWorld oldest

Inhabited Capital

EX ORIENT LUX

Marvelous south Egypt

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

retrograde ascending approachesretrograde ascending approaches

Popleatal approach

Retrograde access

Ped access

Post tib access Peroneal

access

Pedal Retrograde Access

Post-tibial Retrograde Access

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp mult iple approaches- Double amp mult iple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

Double approach

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

Subintimal dissection

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous- wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

Rendez-vous technique

Pedal Rendez-vous technique

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

Loop technique Loop technique AnatomyAnatomy

030515 38

Before

After

Pedal arches loop Pedal arches loop recanalizationrecanalization

Pedal to planter loopPedal to planter loop

Pedal to planter loopPedal to planter loop

planter to Pedal to loopplanter to Pedal to loop

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques- Trans collaterals techniques

030515 45

Before After

Trans-Collaterals DilatationTrans-Collaterals Dilatation

CommunicantsCommunicants

anatomyanatomy

PeronealPeroneal

ToTo

Post tibialPost tibial

PeronealPeroneal

ToTo

Ant tibialAnt tibial

or pedalor pedal

Recommendations

plan your strategy adapt your strategy to the situation Multi level work Alternate amp combine techniques Be inventive Extreme acrobatics Do only what you can do

plan your strategy adapt your strategy to the situation Multi level work Alternate amp combine techniques Be inventive Extreme acrobatics Do only what you can do

plan your strategy

adapt your strategy to the situation

adapt your strategy to the situation

Before After

Multi levels workMulti levels work

Alternate amp combine techniquesAlternate amp combine techniques

Before After

Be inventive

Retrograde transcollaterals approacheRetrograde transcollaterals approache

Extreme acrobatics

Per ArPer Ar

Ped ArPed Ar

ArchesArchesCommunicantCommunicant

Post tib ArPost tib Ar

Medial Medial

planter Arplanter Ar

Transvenous

Bypass gtgt

Petra rock sculpted old city

Istanbul Orientrsquos gate

Esfahan = half of the world

DamascusWorld oldest

Inhabited Capital

EX ORIENT LUX

Marvelous south Egypt

retrograde ascending approachesretrograde ascending approaches

Popleatal approach

Retrograde access

Ped access

Post tib access Peroneal

access

Pedal Retrograde Access

Post-tibial Retrograde Access

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp mult iple approaches- Double amp mult iple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

Double approach

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

Subintimal dissection

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous- wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

Rendez-vous technique

Pedal Rendez-vous technique

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

Loop technique Loop technique AnatomyAnatomy

030515 38

Before

After

Pedal arches loop Pedal arches loop recanalizationrecanalization

Pedal to planter loopPedal to planter loop

Pedal to planter loopPedal to planter loop

planter to Pedal to loopplanter to Pedal to loop

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques- Trans collaterals techniques

030515 45

Before After

Trans-Collaterals DilatationTrans-Collaterals Dilatation

CommunicantsCommunicants

anatomyanatomy

PeronealPeroneal

ToTo

Post tibialPost tibial

PeronealPeroneal

ToTo

Ant tibialAnt tibial

or pedalor pedal

Recommendations

plan your strategy adapt your strategy to the situation Multi level work Alternate amp combine techniques Be inventive Extreme acrobatics Do only what you can do

plan your strategy adapt your strategy to the situation Multi level work Alternate amp combine techniques Be inventive Extreme acrobatics Do only what you can do

plan your strategy

adapt your strategy to the situation

adapt your strategy to the situation

Before After

Multi levels workMulti levels work

Alternate amp combine techniquesAlternate amp combine techniques

Before After

Be inventive

Retrograde transcollaterals approacheRetrograde transcollaterals approache

Extreme acrobatics

Per ArPer Ar

Ped ArPed Ar

ArchesArchesCommunicantCommunicant

Post tib ArPost tib Ar

Medial Medial

planter Arplanter Ar

Transvenous

Bypass gtgt

Petra rock sculpted old city

Istanbul Orientrsquos gate

Esfahan = half of the world

DamascusWorld oldest

Inhabited Capital

EX ORIENT LUX

Marvelous south Egypt

Retrograde access

Ped access

Post tib access Peroneal

access

Pedal Retrograde Access

Post-tibial Retrograde Access

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp mult iple approaches- Double amp mult iple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

Double approach

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

Subintimal dissection

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous- wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

Rendez-vous technique

Pedal Rendez-vous technique

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

Loop technique Loop technique AnatomyAnatomy

030515 38

Before

After

Pedal arches loop Pedal arches loop recanalizationrecanalization

Pedal to planter loopPedal to planter loop

Pedal to planter loopPedal to planter loop

planter to Pedal to loopplanter to Pedal to loop

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques- Trans collaterals techniques

030515 45

Before After

Trans-Collaterals DilatationTrans-Collaterals Dilatation

CommunicantsCommunicants

anatomyanatomy

PeronealPeroneal

ToTo

Post tibialPost tibial

PeronealPeroneal

ToTo

Ant tibialAnt tibial

or pedalor pedal

Recommendations

plan your strategy adapt your strategy to the situation Multi level work Alternate amp combine techniques Be inventive Extreme acrobatics Do only what you can do

plan your strategy adapt your strategy to the situation Multi level work Alternate amp combine techniques Be inventive Extreme acrobatics Do only what you can do

plan your strategy

adapt your strategy to the situation

adapt your strategy to the situation

Before After

Multi levels workMulti levels work

Alternate amp combine techniquesAlternate amp combine techniques

Before After

Be inventive

Retrograde transcollaterals approacheRetrograde transcollaterals approache

Extreme acrobatics

Per ArPer Ar

Ped ArPed Ar

ArchesArchesCommunicantCommunicant

Post tib ArPost tib Ar

Medial Medial

planter Arplanter Ar

Transvenous

Bypass gtgt

Petra rock sculpted old city

Istanbul Orientrsquos gate

Esfahan = half of the world

DamascusWorld oldest

Inhabited Capital

EX ORIENT LUX

Marvelous south Egypt

Pedal Retrograde Access

Post-tibial Retrograde Access

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp mult iple approaches- Double amp mult iple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

Double approach

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

Subintimal dissection

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous- wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

Rendez-vous technique

Pedal Rendez-vous technique

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

Loop technique Loop technique AnatomyAnatomy

030515 38

Before

After

Pedal arches loop Pedal arches loop recanalizationrecanalization

Pedal to planter loopPedal to planter loop

Pedal to planter loopPedal to planter loop

planter to Pedal to loopplanter to Pedal to loop

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques- Trans collaterals techniques

030515 45

Before After

Trans-Collaterals DilatationTrans-Collaterals Dilatation

CommunicantsCommunicants

anatomyanatomy

PeronealPeroneal

ToTo

Post tibialPost tibial

PeronealPeroneal

ToTo

Ant tibialAnt tibial

or pedalor pedal

Recommendations

plan your strategy adapt your strategy to the situation Multi level work Alternate amp combine techniques Be inventive Extreme acrobatics Do only what you can do

plan your strategy adapt your strategy to the situation Multi level work Alternate amp combine techniques Be inventive Extreme acrobatics Do only what you can do

plan your strategy

adapt your strategy to the situation

adapt your strategy to the situation

Before After

Multi levels workMulti levels work

Alternate amp combine techniquesAlternate amp combine techniques

Before After

Be inventive

Retrograde transcollaterals approacheRetrograde transcollaterals approache

Extreme acrobatics

Per ArPer Ar

Ped ArPed Ar

ArchesArchesCommunicantCommunicant

Post tib ArPost tib Ar

Medial Medial

planter Arplanter Ar

Transvenous

Bypass gtgt

Petra rock sculpted old city

Istanbul Orientrsquos gate

Esfahan = half of the world

DamascusWorld oldest

Inhabited Capital

EX ORIENT LUX

Marvelous south Egypt

Post-tibial Retrograde Access

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp mult iple approaches- Double amp mult iple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

Double approach

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

Subintimal dissection

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous- wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

Rendez-vous technique

Pedal Rendez-vous technique

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

Loop technique Loop technique AnatomyAnatomy

030515 38

Before

After

Pedal arches loop Pedal arches loop recanalizationrecanalization

Pedal to planter loopPedal to planter loop

Pedal to planter loopPedal to planter loop

planter to Pedal to loopplanter to Pedal to loop

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques- Trans collaterals techniques

030515 45

Before After

Trans-Collaterals DilatationTrans-Collaterals Dilatation

CommunicantsCommunicants

anatomyanatomy

PeronealPeroneal

ToTo

Post tibialPost tibial

PeronealPeroneal

ToTo

Ant tibialAnt tibial

or pedalor pedal

Recommendations

plan your strategy adapt your strategy to the situation Multi level work Alternate amp combine techniques Be inventive Extreme acrobatics Do only what you can do

plan your strategy adapt your strategy to the situation Multi level work Alternate amp combine techniques Be inventive Extreme acrobatics Do only what you can do

plan your strategy

adapt your strategy to the situation

adapt your strategy to the situation

Before After

Multi levels workMulti levels work

Alternate amp combine techniquesAlternate amp combine techniques

Before After

Be inventive

Retrograde transcollaterals approacheRetrograde transcollaterals approache

Extreme acrobatics

Per ArPer Ar

Ped ArPed Ar

ArchesArchesCommunicantCommunicant

Post tib ArPost tib Ar

Medial Medial

planter Arplanter Ar

Transvenous

Bypass gtgt

Petra rock sculpted old city

Istanbul Orientrsquos gate

Esfahan = half of the world

DamascusWorld oldest

Inhabited Capital

EX ORIENT LUX

Marvelous south Egypt

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp mult iple approaches- Double amp mult iple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

Double approach

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

Subintimal dissection

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous- wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

Rendez-vous technique

Pedal Rendez-vous technique

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

Loop technique Loop technique AnatomyAnatomy

030515 38

Before

After

Pedal arches loop Pedal arches loop recanalizationrecanalization

Pedal to planter loopPedal to planter loop

Pedal to planter loopPedal to planter loop

planter to Pedal to loopplanter to Pedal to loop

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques- Trans collaterals techniques

030515 45

Before After

Trans-Collaterals DilatationTrans-Collaterals Dilatation

CommunicantsCommunicants

anatomyanatomy

PeronealPeroneal

ToTo

Post tibialPost tibial

PeronealPeroneal

ToTo

Ant tibialAnt tibial

or pedalor pedal

Recommendations

plan your strategy adapt your strategy to the situation Multi level work Alternate amp combine techniques Be inventive Extreme acrobatics Do only what you can do

plan your strategy adapt your strategy to the situation Multi level work Alternate amp combine techniques Be inventive Extreme acrobatics Do only what you can do

plan your strategy

adapt your strategy to the situation

adapt your strategy to the situation

Before After

Multi levels workMulti levels work

Alternate amp combine techniquesAlternate amp combine techniques

Before After

Be inventive

Retrograde transcollaterals approacheRetrograde transcollaterals approache

Extreme acrobatics

Per ArPer Ar

Ped ArPed Ar

ArchesArchesCommunicantCommunicant

Post tib ArPost tib Ar

Medial Medial

planter Arplanter Ar

Transvenous

Bypass gtgt

Petra rock sculpted old city

Istanbul Orientrsquos gate

Esfahan = half of the world

DamascusWorld oldest

Inhabited Capital

EX ORIENT LUX

Marvelous south Egypt

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp mult iple approaches- Double amp mult iple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

Double approach

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

Subintimal dissection

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous- wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

Rendez-vous technique

Pedal Rendez-vous technique

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

Loop technique Loop technique AnatomyAnatomy

030515 38

Before

After

Pedal arches loop Pedal arches loop recanalizationrecanalization

Pedal to planter loopPedal to planter loop

Pedal to planter loopPedal to planter loop

planter to Pedal to loopplanter to Pedal to loop

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques- Trans collaterals techniques

030515 45

Before After

Trans-Collaterals DilatationTrans-Collaterals Dilatation

CommunicantsCommunicants

anatomyanatomy

PeronealPeroneal

ToTo

Post tibialPost tibial

PeronealPeroneal

ToTo

Ant tibialAnt tibial

or pedalor pedal

Recommendations

plan your strategy adapt your strategy to the situation Multi level work Alternate amp combine techniques Be inventive Extreme acrobatics Do only what you can do

plan your strategy adapt your strategy to the situation Multi level work Alternate amp combine techniques Be inventive Extreme acrobatics Do only what you can do

plan your strategy

adapt your strategy to the situation

adapt your strategy to the situation

Before After

Multi levels workMulti levels work

Alternate amp combine techniquesAlternate amp combine techniques

Before After

Be inventive

Retrograde transcollaterals approacheRetrograde transcollaterals approache

Extreme acrobatics

Per ArPer Ar

Ped ArPed Ar

ArchesArchesCommunicantCommunicant

Post tib ArPost tib Ar

Medial Medial

planter Arplanter Ar

Transvenous

Bypass gtgt

Petra rock sculpted old city

Istanbul Orientrsquos gate

Esfahan = half of the world

DamascusWorld oldest

Inhabited Capital

EX ORIENT LUX

Marvelous south Egypt

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp mult iple approaches- Double amp mult iple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

Double approach

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

Subintimal dissection

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous- wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

Rendez-vous technique

Pedal Rendez-vous technique

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

Loop technique Loop technique AnatomyAnatomy

030515 38

Before

After

Pedal arches loop Pedal arches loop recanalizationrecanalization

Pedal to planter loopPedal to planter loop

Pedal to planter loopPedal to planter loop

planter to Pedal to loopplanter to Pedal to loop

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques- Trans collaterals techniques

030515 45

Before After

Trans-Collaterals DilatationTrans-Collaterals Dilatation

CommunicantsCommunicants

anatomyanatomy

PeronealPeroneal

ToTo

Post tibialPost tibial

PeronealPeroneal

ToTo

Ant tibialAnt tibial

or pedalor pedal

Recommendations

plan your strategy adapt your strategy to the situation Multi level work Alternate amp combine techniques Be inventive Extreme acrobatics Do only what you can do

plan your strategy adapt your strategy to the situation Multi level work Alternate amp combine techniques Be inventive Extreme acrobatics Do only what you can do

plan your strategy

adapt your strategy to the situation

adapt your strategy to the situation

Before After

Multi levels workMulti levels work

Alternate amp combine techniquesAlternate amp combine techniques

Before After

Be inventive

Retrograde transcollaterals approacheRetrograde transcollaterals approache

Extreme acrobatics

Per ArPer Ar

Ped ArPed Ar

ArchesArchesCommunicantCommunicant

Post tib ArPost tib Ar

Medial Medial

planter Arplanter Ar

Transvenous

Bypass gtgt

Petra rock sculpted old city

Istanbul Orientrsquos gate

Esfahan = half of the world

DamascusWorld oldest

Inhabited Capital

EX ORIENT LUX

Marvelous south Egypt

Double approach

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

Subintimal dissection

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous- wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

Rendez-vous technique

Pedal Rendez-vous technique

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

Loop technique Loop technique AnatomyAnatomy

030515 38

Before

After

Pedal arches loop Pedal arches loop recanalizationrecanalization

Pedal to planter loopPedal to planter loop

Pedal to planter loopPedal to planter loop

planter to Pedal to loopplanter to Pedal to loop

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques- Trans collaterals techniques

030515 45

Before After

Trans-Collaterals DilatationTrans-Collaterals Dilatation

CommunicantsCommunicants

anatomyanatomy

PeronealPeroneal

ToTo

Post tibialPost tibial

PeronealPeroneal

ToTo

Ant tibialAnt tibial

or pedalor pedal

Recommendations

plan your strategy adapt your strategy to the situation Multi level work Alternate amp combine techniques Be inventive Extreme acrobatics Do only what you can do

plan your strategy adapt your strategy to the situation Multi level work Alternate amp combine techniques Be inventive Extreme acrobatics Do only what you can do

plan your strategy

adapt your strategy to the situation

adapt your strategy to the situation

Before After

Multi levels workMulti levels work

Alternate amp combine techniquesAlternate amp combine techniques

Before After

Be inventive

Retrograde transcollaterals approacheRetrograde transcollaterals approache

Extreme acrobatics

Per ArPer Ar

Ped ArPed Ar

ArchesArchesCommunicantCommunicant

Post tib ArPost tib Ar

Medial Medial

planter Arplanter Ar

Transvenous

Bypass gtgt

Petra rock sculpted old city

Istanbul Orientrsquos gate

Esfahan = half of the world

DamascusWorld oldest

Inhabited Capital

EX ORIENT LUX

Marvelous south Egypt

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

Subintimal dissection

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous- wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

Rendez-vous technique

Pedal Rendez-vous technique

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

Loop technique Loop technique AnatomyAnatomy

030515 38

Before

After

Pedal arches loop Pedal arches loop recanalizationrecanalization

Pedal to planter loopPedal to planter loop

Pedal to planter loopPedal to planter loop

planter to Pedal to loopplanter to Pedal to loop

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques- Trans collaterals techniques

030515 45

Before After

Trans-Collaterals DilatationTrans-Collaterals Dilatation

CommunicantsCommunicants

anatomyanatomy

PeronealPeroneal

ToTo

Post tibialPost tibial

PeronealPeroneal

ToTo

Ant tibialAnt tibial

or pedalor pedal

Recommendations

plan your strategy adapt your strategy to the situation Multi level work Alternate amp combine techniques Be inventive Extreme acrobatics Do only what you can do

plan your strategy adapt your strategy to the situation Multi level work Alternate amp combine techniques Be inventive Extreme acrobatics Do only what you can do

plan your strategy

adapt your strategy to the situation

adapt your strategy to the situation

Before After

Multi levels workMulti levels work

Alternate amp combine techniquesAlternate amp combine techniques

Before After

Be inventive

Retrograde transcollaterals approacheRetrograde transcollaterals approache

Extreme acrobatics

Per ArPer Ar

Ped ArPed Ar

ArchesArchesCommunicantCommunicant

Post tib ArPost tib Ar

Medial Medial

planter Arplanter Ar

Transvenous

Bypass gtgt

Petra rock sculpted old city

Istanbul Orientrsquos gate

Esfahan = half of the world

DamascusWorld oldest

Inhabited Capital

EX ORIENT LUX

Marvelous south Egypt

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

Subintimal dissection

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous- wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

Rendez-vous technique

Pedal Rendez-vous technique

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

Loop technique Loop technique AnatomyAnatomy

030515 38

Before

After

Pedal arches loop Pedal arches loop recanalizationrecanalization

Pedal to planter loopPedal to planter loop

Pedal to planter loopPedal to planter loop

planter to Pedal to loopplanter to Pedal to loop

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques- Trans collaterals techniques

030515 45

Before After

Trans-Collaterals DilatationTrans-Collaterals Dilatation

CommunicantsCommunicants

anatomyanatomy

PeronealPeroneal

ToTo

Post tibialPost tibial

PeronealPeroneal

ToTo

Ant tibialAnt tibial

or pedalor pedal

Recommendations

plan your strategy adapt your strategy to the situation Multi level work Alternate amp combine techniques Be inventive Extreme acrobatics Do only what you can do

plan your strategy adapt your strategy to the situation Multi level work Alternate amp combine techniques Be inventive Extreme acrobatics Do only what you can do

plan your strategy

adapt your strategy to the situation

adapt your strategy to the situation

Before After

Multi levels workMulti levels work

Alternate amp combine techniquesAlternate amp combine techniques

Before After

Be inventive

Retrograde transcollaterals approacheRetrograde transcollaterals approache

Extreme acrobatics

Per ArPer Ar

Ped ArPed Ar

ArchesArchesCommunicantCommunicant

Post tib ArPost tib Ar

Medial Medial

planter Arplanter Ar

Transvenous

Bypass gtgt

Petra rock sculpted old city

Istanbul Orientrsquos gate

Esfahan = half of the world

DamascusWorld oldest

Inhabited Capital

EX ORIENT LUX

Marvelous south Egypt

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

Subintimal dissection

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous- wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

Rendez-vous technique

Pedal Rendez-vous technique

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

Loop technique Loop technique AnatomyAnatomy

030515 38

Before

After

Pedal arches loop Pedal arches loop recanalizationrecanalization

Pedal to planter loopPedal to planter loop

Pedal to planter loopPedal to planter loop

planter to Pedal to loopplanter to Pedal to loop

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques- Trans collaterals techniques

030515 45

Before After

Trans-Collaterals DilatationTrans-Collaterals Dilatation

CommunicantsCommunicants

anatomyanatomy

PeronealPeroneal

ToTo

Post tibialPost tibial

PeronealPeroneal

ToTo

Ant tibialAnt tibial

or pedalor pedal

Recommendations

plan your strategy adapt your strategy to the situation Multi level work Alternate amp combine techniques Be inventive Extreme acrobatics Do only what you can do

plan your strategy adapt your strategy to the situation Multi level work Alternate amp combine techniques Be inventive Extreme acrobatics Do only what you can do

plan your strategy

adapt your strategy to the situation

adapt your strategy to the situation

Before After

Multi levels workMulti levels work

Alternate amp combine techniquesAlternate amp combine techniques

Before After

Be inventive

Retrograde transcollaterals approacheRetrograde transcollaterals approache

Extreme acrobatics

Per ArPer Ar

Ped ArPed Ar

ArchesArchesCommunicantCommunicant

Post tib ArPost tib Ar

Medial Medial

planter Arplanter Ar

Transvenous

Bypass gtgt

Petra rock sculpted old city

Istanbul Orientrsquos gate

Esfahan = half of the world

DamascusWorld oldest

Inhabited Capital

EX ORIENT LUX

Marvelous south Egypt

Subintimal dissection

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous- wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

Rendez-vous technique

Pedal Rendez-vous technique

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

Loop technique Loop technique AnatomyAnatomy

030515 38

Before

After

Pedal arches loop Pedal arches loop recanalizationrecanalization

Pedal to planter loopPedal to planter loop

Pedal to planter loopPedal to planter loop

planter to Pedal to loopplanter to Pedal to loop

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques- Trans collaterals techniques

030515 45

Before After

Trans-Collaterals DilatationTrans-Collaterals Dilatation

CommunicantsCommunicants

anatomyanatomy

PeronealPeroneal

ToTo

Post tibialPost tibial

PeronealPeroneal

ToTo

Ant tibialAnt tibial

or pedalor pedal

Recommendations

plan your strategy adapt your strategy to the situation Multi level work Alternate amp combine techniques Be inventive Extreme acrobatics Do only what you can do

plan your strategy adapt your strategy to the situation Multi level work Alternate amp combine techniques Be inventive Extreme acrobatics Do only what you can do

plan your strategy

adapt your strategy to the situation

adapt your strategy to the situation

Before After

Multi levels workMulti levels work

Alternate amp combine techniquesAlternate amp combine techniques

Before After

Be inventive

Retrograde transcollaterals approacheRetrograde transcollaterals approache

Extreme acrobatics

Per ArPer Ar

Ped ArPed Ar

ArchesArchesCommunicantCommunicant

Post tib ArPost tib Ar

Medial Medial

planter Arplanter Ar

Transvenous

Bypass gtgt

Petra rock sculpted old city

Istanbul Orientrsquos gate

Esfahan = half of the world

DamascusWorld oldest

Inhabited Capital

EX ORIENT LUX

Marvelous south Egypt

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous- wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

Rendez-vous technique

Pedal Rendez-vous technique

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

Loop technique Loop technique AnatomyAnatomy

030515 38

Before

After

Pedal arches loop Pedal arches loop recanalizationrecanalization

Pedal to planter loopPedal to planter loop

Pedal to planter loopPedal to planter loop

planter to Pedal to loopplanter to Pedal to loop

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques- Trans collaterals techniques

030515 45

Before After

Trans-Collaterals DilatationTrans-Collaterals Dilatation

CommunicantsCommunicants

anatomyanatomy

PeronealPeroneal

ToTo

Post tibialPost tibial

PeronealPeroneal

ToTo

Ant tibialAnt tibial

or pedalor pedal

Recommendations

plan your strategy adapt your strategy to the situation Multi level work Alternate amp combine techniques Be inventive Extreme acrobatics Do only what you can do

plan your strategy adapt your strategy to the situation Multi level work Alternate amp combine techniques Be inventive Extreme acrobatics Do only what you can do

plan your strategy

adapt your strategy to the situation

adapt your strategy to the situation

Before After

Multi levels workMulti levels work

Alternate amp combine techniquesAlternate amp combine techniques

Before After

Be inventive

Retrograde transcollaterals approacheRetrograde transcollaterals approache

Extreme acrobatics

Per ArPer Ar

Ped ArPed Ar

ArchesArchesCommunicantCommunicant

Post tib ArPost tib Ar

Medial Medial

planter Arplanter Ar

Transvenous

Bypass gtgt

Petra rock sculpted old city

Istanbul Orientrsquos gate

Esfahan = half of the world

DamascusWorld oldest

Inhabited Capital

EX ORIENT LUX

Marvelous south Egypt

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous- wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

Rendez-vous technique

Pedal Rendez-vous technique

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

Loop technique Loop technique AnatomyAnatomy

030515 38

Before

After

Pedal arches loop Pedal arches loop recanalizationrecanalization

Pedal to planter loopPedal to planter loop

Pedal to planter loopPedal to planter loop

planter to Pedal to loopplanter to Pedal to loop

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques- Trans collaterals techniques

030515 45

Before After

Trans-Collaterals DilatationTrans-Collaterals Dilatation

CommunicantsCommunicants

anatomyanatomy

PeronealPeroneal

ToTo

Post tibialPost tibial

PeronealPeroneal

ToTo

Ant tibialAnt tibial

or pedalor pedal

Recommendations

plan your strategy adapt your strategy to the situation Multi level work Alternate amp combine techniques Be inventive Extreme acrobatics Do only what you can do

plan your strategy adapt your strategy to the situation Multi level work Alternate amp combine techniques Be inventive Extreme acrobatics Do only what you can do

plan your strategy

adapt your strategy to the situation

adapt your strategy to the situation

Before After

Multi levels workMulti levels work

Alternate amp combine techniquesAlternate amp combine techniques

Before After

Be inventive

Retrograde transcollaterals approacheRetrograde transcollaterals approache

Extreme acrobatics

Per ArPer Ar

Ped ArPed Ar

ArchesArchesCommunicantCommunicant

Post tib ArPost tib Ar

Medial Medial

planter Arplanter Ar

Transvenous

Bypass gtgt

Petra rock sculpted old city

Istanbul Orientrsquos gate

Esfahan = half of the world

DamascusWorld oldest

Inhabited Capital

EX ORIENT LUX

Marvelous south Egypt

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous- wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

Rendez-vous technique

Pedal Rendez-vous technique

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

Loop technique Loop technique AnatomyAnatomy

030515 38

Before

After

Pedal arches loop Pedal arches loop recanalizationrecanalization

Pedal to planter loopPedal to planter loop

Pedal to planter loopPedal to planter loop

planter to Pedal to loopplanter to Pedal to loop

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques- Trans collaterals techniques

030515 45

Before After

Trans-Collaterals DilatationTrans-Collaterals Dilatation

CommunicantsCommunicants

anatomyanatomy

PeronealPeroneal

ToTo

Post tibialPost tibial

PeronealPeroneal

ToTo

Ant tibialAnt tibial

or pedalor pedal

Recommendations

plan your strategy adapt your strategy to the situation Multi level work Alternate amp combine techniques Be inventive Extreme acrobatics Do only what you can do

plan your strategy adapt your strategy to the situation Multi level work Alternate amp combine techniques Be inventive Extreme acrobatics Do only what you can do

plan your strategy

adapt your strategy to the situation

adapt your strategy to the situation

Before After

Multi levels workMulti levels work

Alternate amp combine techniquesAlternate amp combine techniques

Before After

Be inventive

Retrograde transcollaterals approacheRetrograde transcollaterals approache

Extreme acrobatics

Per ArPer Ar

Ped ArPed Ar

ArchesArchesCommunicantCommunicant

Post tib ArPost tib Ar

Medial Medial

planter Arplanter Ar

Transvenous

Bypass gtgt

Petra rock sculpted old city

Istanbul Orientrsquos gate

Esfahan = half of the world

DamascusWorld oldest

Inhabited Capital

EX ORIENT LUX

Marvelous south Egypt

Rendez-vous technique

Pedal Rendez-vous technique

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

Loop technique Loop technique AnatomyAnatomy

030515 38

Before

After

Pedal arches loop Pedal arches loop recanalizationrecanalization

Pedal to planter loopPedal to planter loop

Pedal to planter loopPedal to planter loop

planter to Pedal to loopplanter to Pedal to loop

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques- Trans collaterals techniques

030515 45

Before After

Trans-Collaterals DilatationTrans-Collaterals Dilatation

CommunicantsCommunicants

anatomyanatomy

PeronealPeroneal

ToTo

Post tibialPost tibial

PeronealPeroneal

ToTo

Ant tibialAnt tibial

or pedalor pedal

Recommendations

plan your strategy adapt your strategy to the situation Multi level work Alternate amp combine techniques Be inventive Extreme acrobatics Do only what you can do

plan your strategy adapt your strategy to the situation Multi level work Alternate amp combine techniques Be inventive Extreme acrobatics Do only what you can do

plan your strategy

adapt your strategy to the situation

adapt your strategy to the situation

Before After

Multi levels workMulti levels work

Alternate amp combine techniquesAlternate amp combine techniques

Before After

Be inventive

Retrograde transcollaterals approacheRetrograde transcollaterals approache

Extreme acrobatics

Per ArPer Ar

Ped ArPed Ar

ArchesArchesCommunicantCommunicant

Post tib ArPost tib Ar

Medial Medial

planter Arplanter Ar

Transvenous

Bypass gtgt

Petra rock sculpted old city

Istanbul Orientrsquos gate

Esfahan = half of the world

DamascusWorld oldest

Inhabited Capital

EX ORIENT LUX

Marvelous south Egypt

Pedal Rendez-vous technique

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

Loop technique Loop technique AnatomyAnatomy

030515 38

Before

After

Pedal arches loop Pedal arches loop recanalizationrecanalization

Pedal to planter loopPedal to planter loop

Pedal to planter loopPedal to planter loop

planter to Pedal to loopplanter to Pedal to loop

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques- Trans collaterals techniques

030515 45

Before After

Trans-Collaterals DilatationTrans-Collaterals Dilatation

CommunicantsCommunicants

anatomyanatomy

PeronealPeroneal

ToTo

Post tibialPost tibial

PeronealPeroneal

ToTo

Ant tibialAnt tibial

or pedalor pedal

Recommendations

plan your strategy adapt your strategy to the situation Multi level work Alternate amp combine techniques Be inventive Extreme acrobatics Do only what you can do

plan your strategy adapt your strategy to the situation Multi level work Alternate amp combine techniques Be inventive Extreme acrobatics Do only what you can do

plan your strategy

adapt your strategy to the situation

adapt your strategy to the situation

Before After

Multi levels workMulti levels work

Alternate amp combine techniquesAlternate amp combine techniques

Before After

Be inventive

Retrograde transcollaterals approacheRetrograde transcollaterals approache

Extreme acrobatics

Per ArPer Ar

Ped ArPed Ar

ArchesArchesCommunicantCommunicant

Post tib ArPost tib Ar

Medial Medial

planter Arplanter Ar

Transvenous

Bypass gtgt

Petra rock sculpted old city

Istanbul Orientrsquos gate

Esfahan = half of the world

DamascusWorld oldest

Inhabited Capital

EX ORIENT LUX

Marvelous south Egypt

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

Loop technique Loop technique AnatomyAnatomy

030515 38

Before

After

Pedal arches loop Pedal arches loop recanalizationrecanalization

Pedal to planter loopPedal to planter loop

Pedal to planter loopPedal to planter loop

planter to Pedal to loopplanter to Pedal to loop

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques- Trans collaterals techniques

030515 45

Before After

Trans-Collaterals DilatationTrans-Collaterals Dilatation

CommunicantsCommunicants

anatomyanatomy

PeronealPeroneal

ToTo

Post tibialPost tibial

PeronealPeroneal

ToTo

Ant tibialAnt tibial

or pedalor pedal

Recommendations

plan your strategy adapt your strategy to the situation Multi level work Alternate amp combine techniques Be inventive Extreme acrobatics Do only what you can do

plan your strategy adapt your strategy to the situation Multi level work Alternate amp combine techniques Be inventive Extreme acrobatics Do only what you can do

plan your strategy

adapt your strategy to the situation

adapt your strategy to the situation

Before After

Multi levels workMulti levels work

Alternate amp combine techniquesAlternate amp combine techniques

Before After

Be inventive

Retrograde transcollaterals approacheRetrograde transcollaterals approache

Extreme acrobatics

Per ArPer Ar

Ped ArPed Ar

ArchesArchesCommunicantCommunicant

Post tib ArPost tib Ar

Medial Medial

planter Arplanter Ar

Transvenous

Bypass gtgt

Petra rock sculpted old city

Istanbul Orientrsquos gate

Esfahan = half of the world

DamascusWorld oldest

Inhabited Capital

EX ORIENT LUX

Marvelous south Egypt

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

Loop technique Loop technique AnatomyAnatomy

030515 38

Before

After

Pedal arches loop Pedal arches loop recanalizationrecanalization

Pedal to planter loopPedal to planter loop

Pedal to planter loopPedal to planter loop

planter to Pedal to loopplanter to Pedal to loop

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques- Trans collaterals techniques

030515 45

Before After

Trans-Collaterals DilatationTrans-Collaterals Dilatation

CommunicantsCommunicants

anatomyanatomy

PeronealPeroneal

ToTo

Post tibialPost tibial

PeronealPeroneal

ToTo

Ant tibialAnt tibial

or pedalor pedal

Recommendations

plan your strategy adapt your strategy to the situation Multi level work Alternate amp combine techniques Be inventive Extreme acrobatics Do only what you can do

plan your strategy adapt your strategy to the situation Multi level work Alternate amp combine techniques Be inventive Extreme acrobatics Do only what you can do

plan your strategy

adapt your strategy to the situation

adapt your strategy to the situation

Before After

Multi levels workMulti levels work

Alternate amp combine techniquesAlternate amp combine techniques

Before After

Be inventive

Retrograde transcollaterals approacheRetrograde transcollaterals approache

Extreme acrobatics

Per ArPer Ar

Ped ArPed Ar

ArchesArchesCommunicantCommunicant

Post tib ArPost tib Ar

Medial Medial

planter Arplanter Ar

Transvenous

Bypass gtgt

Petra rock sculpted old city

Istanbul Orientrsquos gate

Esfahan = half of the world

DamascusWorld oldest

Inhabited Capital

EX ORIENT LUX

Marvelous south Egypt

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

Loop technique Loop technique AnatomyAnatomy

030515 38

Before

After

Pedal arches loop Pedal arches loop recanalizationrecanalization

Pedal to planter loopPedal to planter loop

Pedal to planter loopPedal to planter loop

planter to Pedal to loopplanter to Pedal to loop

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques- Trans collaterals techniques

030515 45

Before After

Trans-Collaterals DilatationTrans-Collaterals Dilatation

CommunicantsCommunicants

anatomyanatomy

PeronealPeroneal

ToTo

Post tibialPost tibial

PeronealPeroneal

ToTo

Ant tibialAnt tibial

or pedalor pedal

Recommendations

plan your strategy adapt your strategy to the situation Multi level work Alternate amp combine techniques Be inventive Extreme acrobatics Do only what you can do

plan your strategy adapt your strategy to the situation Multi level work Alternate amp combine techniques Be inventive Extreme acrobatics Do only what you can do

plan your strategy

adapt your strategy to the situation

adapt your strategy to the situation

Before After

Multi levels workMulti levels work

Alternate amp combine techniquesAlternate amp combine techniques

Before After

Be inventive

Retrograde transcollaterals approacheRetrograde transcollaterals approache

Extreme acrobatics

Per ArPer Ar

Ped ArPed Ar

ArchesArchesCommunicantCommunicant

Post tib ArPost tib Ar

Medial Medial

planter Arplanter Ar

Transvenous

Bypass gtgt

Petra rock sculpted old city

Istanbul Orientrsquos gate

Esfahan = half of the world

DamascusWorld oldest

Inhabited Capital

EX ORIENT LUX

Marvelous south Egypt

Loop technique Loop technique AnatomyAnatomy

030515 38

Before

After

Pedal arches loop Pedal arches loop recanalizationrecanalization

Pedal to planter loopPedal to planter loop

Pedal to planter loopPedal to planter loop

planter to Pedal to loopplanter to Pedal to loop

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques- Trans collaterals techniques

030515 45

Before After

Trans-Collaterals DilatationTrans-Collaterals Dilatation

CommunicantsCommunicants

anatomyanatomy

PeronealPeroneal

ToTo

Post tibialPost tibial

PeronealPeroneal

ToTo

Ant tibialAnt tibial

or pedalor pedal

Recommendations

plan your strategy adapt your strategy to the situation Multi level work Alternate amp combine techniques Be inventive Extreme acrobatics Do only what you can do

plan your strategy adapt your strategy to the situation Multi level work Alternate amp combine techniques Be inventive Extreme acrobatics Do only what you can do

plan your strategy

adapt your strategy to the situation

adapt your strategy to the situation

Before After

Multi levels workMulti levels work

Alternate amp combine techniquesAlternate amp combine techniques

Before After

Be inventive

Retrograde transcollaterals approacheRetrograde transcollaterals approache

Extreme acrobatics

Per ArPer Ar

Ped ArPed Ar

ArchesArchesCommunicantCommunicant

Post tib ArPost tib Ar

Medial Medial

planter Arplanter Ar

Transvenous

Bypass gtgt

Petra rock sculpted old city

Istanbul Orientrsquos gate

Esfahan = half of the world

DamascusWorld oldest

Inhabited Capital

EX ORIENT LUX

Marvelous south Egypt

030515 38

Before

After

Pedal arches loop Pedal arches loop recanalizationrecanalization

Pedal to planter loopPedal to planter loop

Pedal to planter loopPedal to planter loop

planter to Pedal to loopplanter to Pedal to loop

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques- Trans collaterals techniques

030515 45

Before After

Trans-Collaterals DilatationTrans-Collaterals Dilatation

CommunicantsCommunicants

anatomyanatomy

PeronealPeroneal

ToTo

Post tibialPost tibial

PeronealPeroneal

ToTo

Ant tibialAnt tibial

or pedalor pedal

Recommendations

plan your strategy adapt your strategy to the situation Multi level work Alternate amp combine techniques Be inventive Extreme acrobatics Do only what you can do

plan your strategy adapt your strategy to the situation Multi level work Alternate amp combine techniques Be inventive Extreme acrobatics Do only what you can do

plan your strategy

adapt your strategy to the situation

adapt your strategy to the situation

Before After

Multi levels workMulti levels work

Alternate amp combine techniquesAlternate amp combine techniques

Before After

Be inventive

Retrograde transcollaterals approacheRetrograde transcollaterals approache

Extreme acrobatics

Per ArPer Ar

Ped ArPed Ar

ArchesArchesCommunicantCommunicant

Post tib ArPost tib Ar

Medial Medial

planter Arplanter Ar

Transvenous

Bypass gtgt

Petra rock sculpted old city

Istanbul Orientrsquos gate

Esfahan = half of the world

DamascusWorld oldest

Inhabited Capital

EX ORIENT LUX

Marvelous south Egypt

Pedal to planter loopPedal to planter loop

Pedal to planter loopPedal to planter loop

planter to Pedal to loopplanter to Pedal to loop

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques- Trans collaterals techniques

030515 45

Before After

Trans-Collaterals DilatationTrans-Collaterals Dilatation

CommunicantsCommunicants

anatomyanatomy

PeronealPeroneal

ToTo

Post tibialPost tibial

PeronealPeroneal

ToTo

Ant tibialAnt tibial

or pedalor pedal

Recommendations

plan your strategy adapt your strategy to the situation Multi level work Alternate amp combine techniques Be inventive Extreme acrobatics Do only what you can do

plan your strategy adapt your strategy to the situation Multi level work Alternate amp combine techniques Be inventive Extreme acrobatics Do only what you can do

plan your strategy

adapt your strategy to the situation

adapt your strategy to the situation

Before After

Multi levels workMulti levels work

Alternate amp combine techniquesAlternate amp combine techniques

Before After

Be inventive

Retrograde transcollaterals approacheRetrograde transcollaterals approache

Extreme acrobatics

Per ArPer Ar

Ped ArPed Ar

ArchesArchesCommunicantCommunicant

Post tib ArPost tib Ar

Medial Medial

planter Arplanter Ar

Transvenous

Bypass gtgt

Petra rock sculpted old city

Istanbul Orientrsquos gate

Esfahan = half of the world

DamascusWorld oldest

Inhabited Capital

EX ORIENT LUX

Marvelous south Egypt

Pedal to planter loopPedal to planter loop

planter to Pedal to loopplanter to Pedal to loop

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques- Trans collaterals techniques

030515 45

Before After

Trans-Collaterals DilatationTrans-Collaterals Dilatation

CommunicantsCommunicants

anatomyanatomy

PeronealPeroneal

ToTo

Post tibialPost tibial

PeronealPeroneal

ToTo

Ant tibialAnt tibial

or pedalor pedal

Recommendations

plan your strategy adapt your strategy to the situation Multi level work Alternate amp combine techniques Be inventive Extreme acrobatics Do only what you can do

plan your strategy adapt your strategy to the situation Multi level work Alternate amp combine techniques Be inventive Extreme acrobatics Do only what you can do

plan your strategy

adapt your strategy to the situation

adapt your strategy to the situation

Before After

Multi levels workMulti levels work

Alternate amp combine techniquesAlternate amp combine techniques

Before After

Be inventive

Retrograde transcollaterals approacheRetrograde transcollaterals approache

Extreme acrobatics

Per ArPer Ar

Ped ArPed Ar

ArchesArchesCommunicantCommunicant

Post tib ArPost tib Ar

Medial Medial

planter Arplanter Ar

Transvenous

Bypass gtgt

Petra rock sculpted old city

Istanbul Orientrsquos gate

Esfahan = half of the world

DamascusWorld oldest

Inhabited Capital

EX ORIENT LUX

Marvelous south Egypt

planter to Pedal to loopplanter to Pedal to loop

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques- Trans collaterals techniques

030515 45

Before After

Trans-Collaterals DilatationTrans-Collaterals Dilatation

CommunicantsCommunicants

anatomyanatomy

PeronealPeroneal

ToTo

Post tibialPost tibial

PeronealPeroneal

ToTo

Ant tibialAnt tibial

or pedalor pedal

Recommendations

plan your strategy adapt your strategy to the situation Multi level work Alternate amp combine techniques Be inventive Extreme acrobatics Do only what you can do

plan your strategy adapt your strategy to the situation Multi level work Alternate amp combine techniques Be inventive Extreme acrobatics Do only what you can do

plan your strategy

adapt your strategy to the situation

adapt your strategy to the situation

Before After

Multi levels workMulti levels work

Alternate amp combine techniquesAlternate amp combine techniques

Before After

Be inventive

Retrograde transcollaterals approacheRetrograde transcollaterals approache

Extreme acrobatics

Per ArPer Ar

Ped ArPed Ar

ArchesArchesCommunicantCommunicant

Post tib ArPost tib Ar

Medial Medial

planter Arplanter Ar

Transvenous

Bypass gtgt

Petra rock sculpted old city

Istanbul Orientrsquos gate

Esfahan = half of the world

DamascusWorld oldest

Inhabited Capital

EX ORIENT LUX

Marvelous south Egypt

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques- Trans collaterals techniques

030515 45

Before After

Trans-Collaterals DilatationTrans-Collaterals Dilatation

CommunicantsCommunicants

anatomyanatomy

PeronealPeroneal

ToTo

Post tibialPost tibial

PeronealPeroneal

ToTo

Ant tibialAnt tibial

or pedalor pedal

Recommendations

plan your strategy adapt your strategy to the situation Multi level work Alternate amp combine techniques Be inventive Extreme acrobatics Do only what you can do

plan your strategy adapt your strategy to the situation Multi level work Alternate amp combine techniques Be inventive Extreme acrobatics Do only what you can do

plan your strategy

adapt your strategy to the situation

adapt your strategy to the situation

Before After

Multi levels workMulti levels work

Alternate amp combine techniquesAlternate amp combine techniques

Before After

Be inventive

Retrograde transcollaterals approacheRetrograde transcollaterals approache

Extreme acrobatics

Per ArPer Ar

Ped ArPed Ar

ArchesArchesCommunicantCommunicant

Post tib ArPost tib Ar

Medial Medial

planter Arplanter Ar

Transvenous

Bypass gtgt

Petra rock sculpted old city

Istanbul Orientrsquos gate

Esfahan = half of the world

DamascusWorld oldest

Inhabited Capital

EX ORIENT LUX

Marvelous south Egypt

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques - Trans collaterals techniques

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques- Trans collaterals techniques

030515 45

Before After

Trans-Collaterals DilatationTrans-Collaterals Dilatation

CommunicantsCommunicants

anatomyanatomy

PeronealPeroneal

ToTo

Post tibialPost tibial

PeronealPeroneal

ToTo

Ant tibialAnt tibial

or pedalor pedal

Recommendations

plan your strategy adapt your strategy to the situation Multi level work Alternate amp combine techniques Be inventive Extreme acrobatics Do only what you can do

plan your strategy adapt your strategy to the situation Multi level work Alternate amp combine techniques Be inventive Extreme acrobatics Do only what you can do

plan your strategy

adapt your strategy to the situation

adapt your strategy to the situation

Before After

Multi levels workMulti levels work

Alternate amp combine techniquesAlternate amp combine techniques

Before After

Be inventive

Retrograde transcollaterals approacheRetrograde transcollaterals approache

Extreme acrobatics

Per ArPer Ar

Ped ArPed Ar

ArchesArchesCommunicantCommunicant

Post tib ArPost tib Ar

Medial Medial

planter Arplanter Ar

Transvenous

Bypass gtgt

Petra rock sculpted old city

Istanbul Orientrsquos gate

Esfahan = half of the world

DamascusWorld oldest

Inhabited Capital

EX ORIENT LUX

Marvelous south Egypt

How to be creativeHow to be creative

Creative ArteriographyCreative Arteriography Creative guidanceCreative guidance Creative AccessCreative Access - Retrograde ascending approaches- Retrograde ascending approaches - Double amp multiple approaches- Double amp multiple approaches Creative pathwaysCreative pathways - Subintimal dissection- Subintimal dissection - wires rendez-vous - wires rendez-vous Creative techniquesCreative techniques - Loop technique pedal planter- Loop technique pedal planter - Trans collaterals techniques- Trans collaterals techniques

030515 45

Before After

Trans-Collaterals DilatationTrans-Collaterals Dilatation

CommunicantsCommunicants

anatomyanatomy

PeronealPeroneal

ToTo

Post tibialPost tibial

PeronealPeroneal

ToTo

Ant tibialAnt tibial

or pedalor pedal

Recommendations

plan your strategy adapt your strategy to the situation Multi level work Alternate amp combine techniques Be inventive Extreme acrobatics Do only what you can do

plan your strategy adapt your strategy to the situation Multi level work Alternate amp combine techniques Be inventive Extreme acrobatics Do only what you can do

plan your strategy

adapt your strategy to the situation

adapt your strategy to the situation

Before After

Multi levels workMulti levels work

Alternate amp combine techniquesAlternate amp combine techniques

Before After

Be inventive

Retrograde transcollaterals approacheRetrograde transcollaterals approache

Extreme acrobatics

Per ArPer Ar

Ped ArPed Ar

ArchesArchesCommunicantCommunicant

Post tib ArPost tib Ar

Medial Medial

planter Arplanter Ar

Transvenous

Bypass gtgt

Petra rock sculpted old city

Istanbul Orientrsquos gate

Esfahan = half of the world

DamascusWorld oldest

Inhabited Capital

EX ORIENT LUX

Marvelous south Egypt

030515 45

Before After

Trans-Collaterals DilatationTrans-Collaterals Dilatation

CommunicantsCommunicants

anatomyanatomy

PeronealPeroneal

ToTo

Post tibialPost tibial

PeronealPeroneal

ToTo

Ant tibialAnt tibial

or pedalor pedal

Recommendations

plan your strategy adapt your strategy to the situation Multi level work Alternate amp combine techniques Be inventive Extreme acrobatics Do only what you can do

plan your strategy adapt your strategy to the situation Multi level work Alternate amp combine techniques Be inventive Extreme acrobatics Do only what you can do

plan your strategy

adapt your strategy to the situation

adapt your strategy to the situation

Before After

Multi levels workMulti levels work

Alternate amp combine techniquesAlternate amp combine techniques

Before After

Be inventive

Retrograde transcollaterals approacheRetrograde transcollaterals approache

Extreme acrobatics

Per ArPer Ar

Ped ArPed Ar

ArchesArchesCommunicantCommunicant

Post tib ArPost tib Ar

Medial Medial

planter Arplanter Ar

Transvenous

Bypass gtgt

Petra rock sculpted old city

Istanbul Orientrsquos gate

Esfahan = half of the world

DamascusWorld oldest

Inhabited Capital

EX ORIENT LUX

Marvelous south Egypt

PeronealPeroneal

ToTo

Post tibialPost tibial

PeronealPeroneal

ToTo

Ant tibialAnt tibial

or pedalor pedal

Recommendations

plan your strategy adapt your strategy to the situation Multi level work Alternate amp combine techniques Be inventive Extreme acrobatics Do only what you can do

plan your strategy adapt your strategy to the situation Multi level work Alternate amp combine techniques Be inventive Extreme acrobatics Do only what you can do

plan your strategy

adapt your strategy to the situation

adapt your strategy to the situation

Before After

Multi levels workMulti levels work

Alternate amp combine techniquesAlternate amp combine techniques

Before After

Be inventive

Retrograde transcollaterals approacheRetrograde transcollaterals approache

Extreme acrobatics

Per ArPer Ar

Ped ArPed Ar

ArchesArchesCommunicantCommunicant

Post tib ArPost tib Ar

Medial Medial

planter Arplanter Ar

Transvenous

Bypass gtgt

Petra rock sculpted old city

Istanbul Orientrsquos gate

Esfahan = half of the world

DamascusWorld oldest

Inhabited Capital

EX ORIENT LUX

Marvelous south Egypt

PeronealPeroneal

ToTo

Ant tibialAnt tibial

or pedalor pedal

Recommendations

plan your strategy adapt your strategy to the situation Multi level work Alternate amp combine techniques Be inventive Extreme acrobatics Do only what you can do

plan your strategy adapt your strategy to the situation Multi level work Alternate amp combine techniques Be inventive Extreme acrobatics Do only what you can do

plan your strategy

adapt your strategy to the situation

adapt your strategy to the situation

Before After

Multi levels workMulti levels work

Alternate amp combine techniquesAlternate amp combine techniques

Before After

Be inventive

Retrograde transcollaterals approacheRetrograde transcollaterals approache

Extreme acrobatics

Per ArPer Ar

Ped ArPed Ar

ArchesArchesCommunicantCommunicant

Post tib ArPost tib Ar

Medial Medial

planter Arplanter Ar

Transvenous

Bypass gtgt

Petra rock sculpted old city

Istanbul Orientrsquos gate

Esfahan = half of the world

DamascusWorld oldest

Inhabited Capital

EX ORIENT LUX

Marvelous south Egypt

Recommendations

plan your strategy adapt your strategy to the situation Multi level work Alternate amp combine techniques Be inventive Extreme acrobatics Do only what you can do

plan your strategy adapt your strategy to the situation Multi level work Alternate amp combine techniques Be inventive Extreme acrobatics Do only what you can do

plan your strategy

adapt your strategy to the situation

adapt your strategy to the situation

Before After

Multi levels workMulti levels work

Alternate amp combine techniquesAlternate amp combine techniques

Before After

Be inventive

Retrograde transcollaterals approacheRetrograde transcollaterals approache

Extreme acrobatics

Per ArPer Ar

Ped ArPed Ar

ArchesArchesCommunicantCommunicant

Post tib ArPost tib Ar

Medial Medial

planter Arplanter Ar

Transvenous

Bypass gtgt

Petra rock sculpted old city

Istanbul Orientrsquos gate

Esfahan = half of the world

DamascusWorld oldest

Inhabited Capital

EX ORIENT LUX

Marvelous south Egypt

plan your strategy

adapt your strategy to the situation

adapt your strategy to the situation

Before After

Multi levels workMulti levels work

Alternate amp combine techniquesAlternate amp combine techniques

Before After

Be inventive

Retrograde transcollaterals approacheRetrograde transcollaterals approache

Extreme acrobatics

Per ArPer Ar

Ped ArPed Ar

ArchesArchesCommunicantCommunicant

Post tib ArPost tib Ar

Medial Medial

planter Arplanter Ar

Transvenous

Bypass gtgt

Petra rock sculpted old city

Istanbul Orientrsquos gate

Esfahan = half of the world

DamascusWorld oldest

Inhabited Capital

EX ORIENT LUX

Marvelous south Egypt

adapt your strategy to the situation

adapt your strategy to the situation

Before After

Multi levels workMulti levels work

Alternate amp combine techniquesAlternate amp combine techniques

Before After

Be inventive

Retrograde transcollaterals approacheRetrograde transcollaterals approache

Extreme acrobatics

Per ArPer Ar

Ped ArPed Ar

ArchesArchesCommunicantCommunicant

Post tib ArPost tib Ar

Medial Medial

planter Arplanter Ar

Transvenous

Bypass gtgt

Petra rock sculpted old city

Istanbul Orientrsquos gate

Esfahan = half of the world

DamascusWorld oldest

Inhabited Capital

EX ORIENT LUX

Marvelous south Egypt

adapt your strategy to the situation

Before After

Multi levels workMulti levels work

Alternate amp combine techniquesAlternate amp combine techniques

Before After

Be inventive

Retrograde transcollaterals approacheRetrograde transcollaterals approache

Extreme acrobatics

Per ArPer Ar

Ped ArPed Ar

ArchesArchesCommunicantCommunicant

Post tib ArPost tib Ar

Medial Medial

planter Arplanter Ar

Transvenous

Bypass gtgt

Petra rock sculpted old city

Istanbul Orientrsquos gate

Esfahan = half of the world

DamascusWorld oldest

Inhabited Capital

EX ORIENT LUX

Marvelous south Egypt

Before After

Multi levels workMulti levels work

Alternate amp combine techniquesAlternate amp combine techniques

Before After

Be inventive

Retrograde transcollaterals approacheRetrograde transcollaterals approache

Extreme acrobatics

Per ArPer Ar

Ped ArPed Ar

ArchesArchesCommunicantCommunicant

Post tib ArPost tib Ar

Medial Medial

planter Arplanter Ar

Transvenous

Bypass gtgt

Petra rock sculpted old city

Istanbul Orientrsquos gate

Esfahan = half of the world

DamascusWorld oldest

Inhabited Capital

EX ORIENT LUX

Marvelous south Egypt

Alternate amp combine techniquesAlternate amp combine techniques

Before After

Be inventive

Retrograde transcollaterals approacheRetrograde transcollaterals approache

Extreme acrobatics

Per ArPer Ar

Ped ArPed Ar

ArchesArchesCommunicantCommunicant

Post tib ArPost tib Ar

Medial Medial

planter Arplanter Ar

Transvenous

Bypass gtgt

Petra rock sculpted old city

Istanbul Orientrsquos gate

Esfahan = half of the world

DamascusWorld oldest

Inhabited Capital

EX ORIENT LUX

Marvelous south Egypt

Be inventive

Retrograde transcollaterals approacheRetrograde transcollaterals approache

Extreme acrobatics

Per ArPer Ar

Ped ArPed Ar

ArchesArchesCommunicantCommunicant

Post tib ArPost tib Ar

Medial Medial

planter Arplanter Ar

Transvenous

Bypass gtgt

Petra rock sculpted old city

Istanbul Orientrsquos gate

Esfahan = half of the world

DamascusWorld oldest

Inhabited Capital

EX ORIENT LUX

Marvelous south Egypt

Extreme acrobatics

Per ArPer Ar

Ped ArPed Ar

ArchesArchesCommunicantCommunicant

Post tib ArPost tib Ar

Medial Medial

planter Arplanter Ar

Transvenous

Bypass gtgt

Petra rock sculpted old city

Istanbul Orientrsquos gate

Esfahan = half of the world

DamascusWorld oldest

Inhabited Capital

EX ORIENT LUX

Marvelous south Egypt

Petra rock sculpted old city

Istanbul Orientrsquos gate

Esfahan = half of the world

DamascusWorld oldest

Inhabited Capital

EX ORIENT LUX

Marvelous south Egypt